Care Home: Qumran Rest Home

Similar services:

• Fairfields Country Rest Home
• Poldhu
• Queensmount
• Trevaylor Manor
• Didsbury Court Rest Home
• Belma
• Hunters Care Centre
• Manor Lodge

What the care home does well The home is family run and has a very homely atmosphere. It was comfortable, clean and tidy on the day of the inspection. Residents and relatives spoken to said they like the family atmosphere. There is a robust recruitment system in place ensuring that the people who work in the home are checked and have skills or are willing to learn skills to enable them to look after the current residents. Residents said that they like their rooms and enjoy the home cooked meals. What has improved since the last inspection? A menu rota is in use and loosely followed by the staff depending on what food is in season. Records are made of the food eaten by the residents. Hazardous chemicals were stored appropriately. A test on the water checking for legionella is being organised and the temperature of water outlets is checked regularly. The provider said that there is a waking person available overnight if required and a sleeping person ,who lives in the house, on call. Usually Mr Ahmed or her son who both live at the premises. Staff files seen had POVA and CRB checks included in them. The Statement of Purpose has recently been reviewed and is available to everybody. It is given to everybody that moves into the home. It includes a complaint procedure with contact information about the local Department of Adult Social Care. Care plans and daily statements, about the residents, examined had enough information in them for staff to be able to provide care and support for people. What the care home could do better: Copies of continence assessments carried out should be kept in the relevant care plans as evidence that they have taken place. Some of the radiators are not covered and are not guaranteed low surface temperature and pipe work in some toilets and bathrooms was not guarded. The heating was not on so it could not be determined how hot these surfaces may be. There were no requirements made as a result of this inspection. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Qumran Rest Home 7 Trevose Avenue Newquay Cornwall TR7 1NJ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Mandy Norton     Date: 2 3 0 4 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Qumran Rest Home 7 Trevose Avenue Newquay Cornwall TR7 1NJ 01637876699 01637877060 qumranresthome@googlemail.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Memuna Khanum Ahmad care home 10 Number of places (if applicable): Under 65 Over 65 3 3 10 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Additional conditions: 0 0 0 To include one named service user under the age of 65 years. Date of last inspection Brief description of the care home Qumran is a small home in Newquay that provides care and accommodation for 10 older people, some of whom may have a history of mental disorder or dementia. Accommodation is provided on two floors which are linked by narrow stairs, one of which is fitted with a stairlift. There are changes in level along corridors and on entry to some bedrooms. The registered provider lives on the second floor. The communal areas are on the ground floor and comprise a large dining room where people eat together, a sitting room and a sun room in front of the house. There is a small courtyard, accessible to people who use the service, at the rear of the home. Car parking in the summer months can be difficult due to holiday traffic. Care Homes for Older People Page 4 of 26 Brief description of the care home The current fees are £350, this does not include personal toiletries and hairdressing. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This unannounced inspection took place from 10:20 am to 2:15 pm on 23rd April 2009. The inspection was conducted with the provider/manager with the support of her son who assists in running the home. A tour of the home was carried out and people who live at the home and care staff were observed and spoken to during the inspection. This report also contains information taken from the completed Annual Quality Assessment (AQAA) document and Service User and staff surveys submitted to the Commission prior to the inspection. Care Homes for Older People Page 6 of 26 There were 9 people living at the home on the day of the inspection. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 26 Care Homes for Older People Page 9 of 26 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service currently have up to date information about the home in order to make an informed decision about whether the service is right for them. The personalised needs assessment means that peoples diverse needs are identified and planned for before they move to the home. Evidence: The provider/ manager said that people are always assessed prior to moving into the home to ensure their needs can be met, a completed pre admission assessment was seen and asked about many things including mobility, history of falls and current medication being taken. If people are to be admitted they and their representatives are given as much up to date information about the service as possible, invited to look around and spend some time at the home and ask any questions they may have. Care Homes for Older People Page 11 of 26 Care Homes for Older People Page 12 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The practice regarding the planning and delivery of care means that people can be sure that their health and personal care needs will always be fully met. Evidence: The provider/manager said that care staff use the care plans to refer to when caring for people and document ongoing progress. The care plans seen were up to date and contained a lot of relevant information about the person and their health, personal and social care needs. The care staff complete daily records about a persons welfare and detail what care has been provided. Information was included about visits made by or to health care professionals such as GPs, district nurses, opticians and dentists. The provider /manager said that continence assessments are carried out by the continence service who take the completed assessment away with them, it was advised that the home take a copy of the assessment for the records as evidence that the assessment has taken place. Care Homes for Older People Page 13 of 26 Evidence: A tour of the home showed that equipment necessary for the promotion of tissue viability and prevention of pressure sores is available to meet peoples current needs. The provider/manager said that they have enough equipment and specialist equipment is provided by the community nursing services as required. The home uses a blister pack system for administration of medicines. They are kept in a locked cupboard int he dining room, which is where most people are at the times they need to have their medication. Their is no separate drugs fridge as there is currently very little medication that needs refrigeration, those that do are kept in a sealed box in the domestic fridge which has its temperature measured and recorded daily. The care staff that administer medicines have had training in medicines administration (certificates were seen in staff files). The medication administration records (MAR) sheets seen were completed as required. The procedure for receipt, storage and disposal of unwanted medicines was explained and is in accordance with laid down legislation. Staff were heard and observed interacting with people appropriately and providing care and support in a discreet manner. People spoken to said that the staff are wonderful and look after their needs very well. All 4 completed Service User surveys indicated that staff listen and act on what you say. Care Homes for Older People Page 14 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A range of activities within the home and the local community mean that people have opportunities to participate in stimulating and motivating activities. Meals and mealtimes are not rushed and staff are available to help make them an enjoyable and social occasion for people. Evidence: The provider/ manager said that the staff spend time with the residents doing a variety of activities and therefore there is no set activities schedule. Relatives spoken to said the staff are great and that they would recommend the home to anybody. Three of the completed Service user surveys indicated that there are usually activities arranged by the home that they can take part in and one that there are sometimes activities. One comment was that the weekly church service is appreciated. During the inspection there were a number of residents in the lounge watching TV and talking to each other. They said that they like the staff and the homely way in which Qumran is run, one person said it is like a home from home. People are encouraged to exercise choice in how they spend their time. Visitors are Care Homes for Older People Page 15 of 26 Evidence: welcomed at anytime and some people regularly go out with friends or relatives. There is a small courtyard to the rear of the house accessible to residents. The provider/manager said that they try to put in plants that display some colour and have some fruit trees and vegetables growing that some of the residents are interested in. Some of the residents spoken to said in the good weather they like to sit outside the front of the house to enjoy the fresh air. People are asked daily what they would like for their meal and there is always a choice. Drinks and snacks are available 24 hours a day. A four weekly menu was seen during the inspection, the provider manager said they stick to this loosely and use it as a guide to ensure people are getting a well balanced diet. Records are kept of what people eat to ensure this is the case (completed documents were seen during the inspection). The staff also use the Safer Food Better Business recording system recommended by the Food Standards Agency. The provider/ manager said that staff are available at mealtimes to give people any help or support they may need. The care staff do the cooking and all of them have had food hygiene training. Three of the four completed Service User surveys indicated that they always like the meals at the home and one that they usually did. One comment was that the meals are excellent and plentiful. Care Homes for Older People Page 16 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Formal complaints and safeguarding policies and procedures are in place and are available to staff at all times. All staff undertake safeguarding training. This means that people who live at the home are adequately safeguarded. Evidence: The complaints procedure was seen displayed in the home and is included in the up to date Statement of Purpose. It is comprehensive and gives options about who to contact and timescales for responses to be made. There have been no complaints made to the Commission or the home since the last inspection. The provider/ manager said that people are seen by herself or a senior carer daily and hopes that any issues or concerns would be bought up then. Care staff have access to the safeguarding policies and procedures available in the home. The provider/manager was reminded to ensure that they reflect the local safeguarding policy in place. Staff have in house safeguarding training via a video training programme. Staff also have information about safeguarding when doing National Vocational Qualification (NVQ) training and during their induction training. Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have a comfortable, homely and safe environment in which to live. Evidence: Qumran is currently registered to take up to 10 people, on the day of the inspection 9 people were resident at the home. Accommodation is provided on two floors which are linked by narrow stairs, one of which is fitted with a stairlift. There are changes in level along corridors and on entry to some bedrooms. The registered provider lives on the second floor. A routine fire officer inspection also took place on the day of the inspection. A tour of the home showed that peoples rooms are personalised with furniture and momentos they bought in with them. People spoken to said they were happy with their current accommodation. The communal areas are on the ground floor and comprise of a large dining room where people eat together, a sitting room, with a TV, and a sun room in front of the house. There are enough bathrooms and toilets throughout the home to meet the needs of the people who currently live there. Some rooms have en-suite facilities. The kitchen is domestic in nature and used by the provider for her family meals also. The laundry is situated in the courtyard and has one domestic washing machine and Care Homes for Older People Page 18 of 26 Evidence: one dryer which the provider/manager said is sufficient for the amount of washing produced. It does not have an impermeable floor or walls but the provider/manager said that any soiled washing is sluiced outside of the laundry and washing never touches the floor. Policies and procedures around infection control are available to the care staff at all times. The care staff do the laundry and the ironing. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staffing levels and skill mix are satisfactory meaning peoples needs are being met at all times. The robust recruitment procedure means that people who live at the home are being looked after by appropriate staff and their welfare is not at risk. Evidence: The provider/manager and care staff carry out all the care, cooking and the washing. Domestic staff are employed to clean the home. The provider/manager and her family carry out the administration of the home and ongoing routine maintenance. The community nursing service visit the home to provide any required nursing care. The manager and the duty rota seen confirmed that there are 2 care staff on duty during the day and overnight there is 1 waking care staff (usually the provider or her son) and an on call person who lives on the premises. This is seen as sufficient for the number of people who currently live at the home (9) and is based on their dependency levels. Two of the completed staff surveys indicated that there are always enough staff on duty and one that there are usually enough staff on duty. The provider/manager said that new staff have an induction that covers health and safety, fire safety, safeguarding and principles of care. Two of the three completed Care Homes for Older People Page 20 of 26 Evidence: staff surveys indicate that their induction covered everything they needed to know very well and one that it mostly did. The AQAA states that staff are offered training opportunities to develop their skills and enable them to improve the care offered, including - food and hygiene, Health and Safety at work, manual handling, first aid at work, deprivation of liberty/protecting vulnerable adults from abuse and introduction to infection control in care homes. Training opportunities were seen displayed on the staff notice board during the inspection and staff files examined confirmed that training takes place regularly. The AQAA states that 4 care staff have NVQ level 2 or above. The provider/manager said that most of the overseas staff that work at Qumran are trained nurses in their own country. The provider/manager uses a robust recruitment procedure that includes getting 2 written references and a CRB check. Overseas staff files examined had all the required documentation in them. (The home are expecting a routine inspection of overseas staff records by the immigration office in the near future). All staff files examined included a contract with the terms and conditions of employment included in it. The provider/manager interviews prospective staff (this may be over the telephone if they are overseas staff being bought into the country by an agency) and said they have a low staff turnover. Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The systems and procedures in place are designed to meet the needs of the service as they strive to improve the service the home offers to the people that live there. The attitude to health and safety shown by the providers and care staff means that people live in a safe and well maintained environment. Evidence: The provider/manager has been running Qumran for over 20 years with the help and support of her family. She is an SEN (2nd level nurse) and has achieved a registered managers award. Any assessed nursing needs are met by the community nursing services. People spoken to said the provider/manager is very good, approachable and they like the family feel of the home. A formal quality assurance system is in place that is based on seeking the views of the residents and/or their Representatives. The last survey was sent out in March 2009 Care Homes for Older People Page 22 of 26 Evidence: and the results are beginning to be reviewed. The provider/ manager said that they do not generally hold money for people as they prefer that the resident or their relatives (representatives) manage personal finances. The AQAA states that the home complies with Health & Safety regulations and relevant checks are made on systems and equipment in the home. Daily checks on fridge/freezer temperatures and are recorded in the daily diary and regular fire drills are conducted as are routine inspections on electrical equipment. All equipment and installations electrical or otherwise are serviced and maintained by fully qualified professionals, ensuring that all equipment maintained to regulation standard. A variety of documentation, including risk assessments, was seen during the inspection to support this statement. The fire officer carried out a routine visit on the day of the inspection. All fire safety equipment seen during the CQC inspection was in good order. During a tour of the home it was noted that all hazardous substances were locked away as required. care plans include individual risk assessments which are reviewed as required. The provider/manager said that all staff have statutory training that includes health and safety, first aid, lifting and handling and food hygiene. Certificates in seen in staff files examined confirmed this. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 25 Radiators that are not guarded or guaranteed low surface temperature and the pipe work in some toilets and bathrooms that is not guarded need to be guarded and/ or a risk assessment be put in place and regularly reviewed to ensure residents ongoing safety. Care Homes for Older People Page 25 of 26 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!